| NPI | 1720618390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP144505) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 123648) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-04-18 |